Individual provider Active NPI

John Bollich, OD

  • Optometrist
  • Lafayette, LA
National Provider Identifier
1437769593
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1922-858AT Issued in LA
Practice address
1600 Camellia Blvd BLDG B
Lafayette, LA 70508-6395
Phone
(337) 988-6442
Fax
(844) 411-7477
NPI assigned
Aug 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1922-858AT LA Primary

Addresses

Primary practice location

1600 Camellia Blvd BLDG B
Lafayette, LA 70508-6395

Mailing address

1600 Camellia Blvd BLDG B
Lafayette, LA 70508-6395
Phone (337) 988-6442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200818000482 LA Practitioner - Optometry 7214353515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Express, LLCGroup PAC ID 0042336059, 2 clinicians

Practice addresses (Care Compare)

1600 B Camellia Blvd
Lafayette, LA 70508-6395
Phone (337) 988-6442

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1922-858ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Armand Eye Care, LLC Optometrist CurrentSince Oct 31, 2021 Accepting new patients
Vision Express, LLC Optometrist CurrentSince Aug 10, 2021 Accepting new patients

Locations

3810 Ambassador Caffery Pkwy
Ste 700
Lafayette, LA 70503
Phone (337) 988-6442

1600 Camellia Blvd
#B
Lafayette, LA 70508
Phone (337) 988-6442

4400 Ambassador Caffery Pkwy
Ste D
Lafayette, LA 70508
Phone (337) 984-3234

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1437769593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CAMELLIA BLVD BLDG B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086395",
            "telephone_number": "337-988-6442",
            "fax_number": "444-117-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CAMELLIA BLVD BLDG B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086395",
            "telephone_number": "337-988-6442",
            "fax_number": "844-411-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLICH",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1922-858AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.